Bethesda Health Group, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC7401 Issued in CA

Legal business name

BETHESDA HEALTH GROUP, INC.

Practice address

740 S Western Ave
211
Los Angeles, CA 90005-5902

Phone

(213) 675-9848

NPI assigned

Dec 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David C Kim, L.AC.

Title

President

Phone

(213) 675-9848

Specialties & licenses 3

Addresses

Other names 1

• Western Acupuncture Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8e7e78cb-2c7c-403e-a42c-10f0d60ec05a/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449273600000",
    "number": "1770958555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S WESTERN AVE",
            "address_2": "211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055902",
            "telephone_number": "213-675-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S WESTERN AVE",
            "address_2": "211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055902",
            "telephone_number": "213-675-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-05",
        "last_updated": "2015-12-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-675-9848",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7401",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7457",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Joaquin Betetta
• Beth Medical Clinic
• Dedra F Bethany-Fulcher, LCSW
• Bethel Eye Center Medical Corporation
• Bethel Los Angeles Community Development Corporation
• Christopher Scott Bethurum
• Illuminada Betita, M.D.
• Jenny-Joy Hidalgo Betito
• Natalie Betlachin, PSY.D.
• Nicole Bettauer

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.